Provider Demographics
NPI:1942261888
Name:HANNAH, FRANCIS X (PAC)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:X
Last Name:HANNAH
Suffix:
Gender:M
Credentials:PAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:940 CENTRAL PARK DR
Mailing Address - Street 2:STE 100
Mailing Address - City:STEAMBOAT SPGS
Mailing Address - State:CO
Mailing Address - Zip Code:80487
Mailing Address - Country:US
Mailing Address - Phone:970-879-3332
Mailing Address - Fax:970-870-3499
Practice Address - Street 1:940 CENTRAL PARK DR
Practice Address - Street 2:STE 100
Practice Address - City:STEAMBOAT SPGS
Practice Address - State:CO
Practice Address - Zip Code:80487
Practice Address - Country:US
Practice Address - Phone:970-879-3332
Practice Address - Fax:970-870-3499
Is Sole Proprietor?:No
Enumeration Date:2006-03-30
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
802OtherCOLO STATE LICENSE
CO95854231Medicaid
MH0205193OtherDEA COLORADO
CO95854231Medicaid